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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERSTA PUTRA FERRYANTO, DPM

Active Sole Proprietor

ERSTA PUTRA FERRYANTO, DPM is a Podiatrist healthcare provider located in GLENVIEW, Illinois. NPI 1588243984 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · GLENVIEW, IL

Registration Details

NPI Number
1588243984
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2021 (5.3353772610289 yrs)
Last Updated
Feb 23, 2026
License
016006049 (IL)
Sole Proprietor
Yes

Practice Information

Address
2200 WAUKEGAN RD STE FGH
GLENVIEW, IL, 600251759
Browse IL providers · Browse ZIP 60025
Phone
8475587670
Fax
8882023110
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in GLENVIEW, IL

Name Credential NPI
DR. TERRY SCOTT ZUCKER DPM 1619958071
DR. PAUL L. GOODMAN D.P.M. 1295781433
ROBERT J ZOMBOLO DPM 1528015435
CARLA GAMEZ DPM 1346287653
LARRY DAVID WEISMAN DPM 1053417154
DR. JOHN N BERGMANN DPM 1205059110
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.